| NPI | 1417393190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 2004414691RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200441469RN) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2016-05-31 |